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,---.-- <br />__ �_ _ <br />Pe-mit No.:--..'._.:._._ .:..:......... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CIIY ENGINEERS ��'`����; ;,�' <br />EVERETT, WASH. —"" Approved By <br />ii.9�cN ,2� /�7/ <br />The Undersigned �� �`� /� `✓ �'t�' �/ NN F Date Appro�ed <br />r <br />Herebyoppliesforpermissionto '��'-':',�7- A��SlGt� lrJ Fl��t:l% �F ia��'. .�,�rr'- <br />At the following <br />SKETCH <br />(Work to be donel <br />ii '�_' <br />_. .'.i i � '_' �1 r • „_ �_f <br />� � �"_ 50� I <br />l-- 1'Cl <br />\V <br />G 0 LP�Y <br />�1'� L . <br />i —� <br />i <br />i (o0/D ;,� <br />, `Z Q81 M <br />� <br />v-� <br />- _ _ __ _ _ _ - -- -- - - - <br />�-- -- - -- - - <br />The undersigned owner hereby agrees io hald and save hormless Ihe City of Vnriance Required <br />Evcrell from any ond all claims for damaqes Ihal may urise bemuse of Ihe Yrc <br />installalion and moinlenoncc of the improvemenl hereto applied for and �xr+�� j 1Jo .. <br />further agrces fo remove zame upon noiice from the Cily and lo replace all '�L7t��.i <br />pu6�ic properiy damog�d thereby. <br />DRIVE�JAY.. SECTION_:_. <br />� _J � <br />"�'' . . _ . '. _ _ <br />.�.�— W � <br />I V F WAY: -__ S�C <br />(fiID :�SCAtS) <br />�. ro"�j f-8o� <br />j _�-...�4�.� <br />. �-- <br />�� � j , <br />/. ,� ,; <br />$ignalure of Applimnl <br />.�� :. . <br />Address <br />� .-', .-�; ,1� ., , . <br />Telephone Number <br />